Most common site for contact ulcer in larynx is
**Core Concept**
Contact ulcers in the larynx are a type of mucosal injury caused by the direct contact between the vocal processes of the arytenoid cartilages during phonation. This phenomenon is often seen in individuals with conditions that lead to vocal cord dysfunction or laryngitis.
**Why the Correct Answer is Right**
The arytenoid cartilages are the most common site for contact ulcers due to the mechanical stress exerted on the mucosa by the vocal processes during phonation. The mucosa covering the vocal processes is thin and susceptible to injury, leading to the formation of contact ulcers. The frequency and force of contact between the arytenoid cartilages during speech and singing can cause chronic irritation and inflammation, resulting in the development of ulcers.
**Why Each Wrong Option is Incorrect**
**Option A:** The cricoid cartilage is a ring-shaped structure located below the larynx and is not directly involved in the formation of contact ulcers.
**Option B:** The corniculate cartilages are small, conical structures located on the arytenoid cartilages and are not typically associated with contact ulcers.
**Option C:** The anterior one-third of the vocal cord is not a common site for contact ulcers, as the mucosa in this area is thicker and less susceptible to injury.
**Clinical Pearl / High-Yield Fact**
In patients with contact ulcers, it is essential to assess the voice and laryngeal function to identify potential causes, such as vocal cord dysfunction or laryngitis, which require prompt treatment to prevent further complications.
**β Correct Answer: A. Arytenoids**